Platinum and Business Mastercard Credit Card Consumer New Customer Cards Requested (#) Authorized Users Account Summary Table Business Existing Customer Requested Limit ($) Please issue credit cards to the following individual(s) on our credit card Application account at the Bank. I understand that I am (or the organization I am Interest Rates and Interest Charges authorized to act on behalf of is) responsible for all card activity, including all balances and charges incurred, by cards issued to authorized user(s). Annual Percentage 11.50% Fixed Entity Information (for businesses) Financials ($) Rate (APR) for Legal Business Name Tax ID Number Business Phone Annual Gross Sales Printed Names & Signatures Limit Purchases Shared Individual: Business Physical Address (not PO Box) Number of Employees Prior Year Pretax Profit APR for Balance 11.50% Fixed $ Transfers Shared Mailing Address (if different from above) Length of Ownership Monthly Debt Payments Individual: APR for Cash 11.50% Fixed $ Advances Type of Organization Total Deposit Balances Shared Individual: Corporation Partnership Sole Proprietorship LLC Non-Profit Other: Paying Interest Your due date is at least 25 days $ after the close of each billing Nature of Business (specific description): Total Debt/Credit Balances Shared cycle. We will not charge you Secured: Individual: Business Name as it should appear on the card(s) – limited to 21 alphanumeric characters; abbreviate if needed $ interest on purchases if you pay Unsecured: Shared your entire balance by the due Individual: Monthly Billing Consolidated: Cardholder transactions combined in one Individual: Individual cardholder statements, billed & date each month. We will begin Option: statement, billed & paid at administrative level paid at individual card level $ charging interest on balance transfers and cash advances on Applicant Information (for consumers) Financials ($) Secured Account the transaction date. Full Name Date of Birth Social Security Number Monthly Gross Income Securing your credit card is optional, but may help an applicant with poor credit history or little to no previous credit history. A* separate signed Minimum Interest There is no minimum interest security agreement will be required.* Charge charge. Current Physical Address How Long (years) Monthly Housing Payment In consideration of this application, the Bank may secure this credit card For Credit Card Tips To learn more about factors with the following Kennebec Savings Bank account: from the Consumer to consider when applying Mailing Address (if different from above) Own Rent Other All Other Monthly Payments Checking Savings CD Account # Financial Protection for or using a credit card, visit For the full credit limit. For the following amount: $ Bureau the website of the Consumer Previous Address (if less than 2 years at current) Number of Dependents Total Deposit Balances Financial Protection Bureau at Signatures http://consumerfinance.gov/ Email Address Primary Phone Work Phone Total Debt/Credit Balances PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING: This learnmore statement is submitted to obtain credit and I/we certify that all Employer Position/Occupation Date Employed information herein is true and complete. I/We agree that inquiries may be made to verify information and that credit references or verification Fees may be given based on inquiries from other parties. This offer is subject Employer Address Name & Address of Previous Employer (if less than 2 years at current) to the credit policies of the Bank. I/We agree to be bound by the terms Annual Fee None and conditions of the cardholder agreement, a copy of which will be Transaction Fees: provided to the applicant if this application is granted, receipt of such Nearest Relative Not Living With You Relationship Primary Phone agreement and acceptance of such terms to be conclusively presumed by Balance Transfer None the applicant’s use. If this application includes a co-applicant or co-signer, Cash Advance None I/we intend to apply for joint credit, and I/we shall be jointly and severally Note for completing the following section: A co-applicant receives a card and assumes joint credit responsibility for the Account. Co-signers do not liable for any and all credit extended from time to time. Foreign Transaction None receive a card, but assume joint credit responsibility for the Account. Guarantors assume credit responsibility in the event that the organization or Penalty Fees: applicant fails to pay; this designation is most commonly used for business cards. Late Payment Up to $25 Co-applicant Co-signer Guarantor Information Financials ($) X Applicant/Authorized Officer Signature Date Returned Payment $5 Full Name Date of Birth Social Security Number Monthly Gross Income How We Will Calculate Your Balance: We use a method X Co-Applicant/Co-Signer/Guarantor Signature Date called “average daily balance (excluding new purchases).” Current Address How Long (years) Monthly Housing Payment See your credit card cardholder agreement for more details. KSB Use Only Email Address Primary Phone Work Phone All Other Monthly Payments Billing Rights: Information on your rights to dispute Approved Credit Limit: transactions and how to exercise those rights is provided in Employer & Employer Addres Position/Occupation Date Employed Total Deposit Balances Approved By: your credit card cardholder agreement. Date: Building a successful financial plan takes the USA PATRIOT Act right resources. That’s why we work hard to Procedures for Opening a New Account provide you with quality financial services To help the government fight the funding of terrorism and money-laundering activities, Federal laws require all financial Bank Products & Services Apply Today! and products. Like our convenient, flexible institutions to obtain, verify, and record information that Mastercard® credit cards. They’re accepted at identifies each person who opens an Account. What this means Deposit Products thousands of locations worldwide for just about to you: When you open an Account, we will ask for your name, address, date of birth, and other information that will allow us Premier Checking • Statement Savings • Certificates of Deposit any type of purchase you can dream up. And, Club Accounts • IRA Savings & CDs • HSA Checking & Savings to identify you. We may also ask to see your driver’s license or Premier Money Market unlike those big out-of-town institutions, our other identifying documents. card comes with the personal, friendly service Kennebec Savings Bank (“Bank”) cannot process applications that are incomplete, unsigned, or missing documentation. The Loan Products you’ve come to expect from us. So, whatever Bank requires income verification. (Income from alimony, child Residential Loans • Home Equity Lines & Loans your plans, choose the credit card that gives support or separate maintenance need not be revealed if it is Personal Loans • Credit Cards 1234 5678 9100 1870 you all the value and buying power you need to not considered in determining creditworthiness.) 1234 5678 9100 1870 1234 get your projects off the drawing board. VALID 06/21 VALID 1234 THRU THRU 06/21 Military Lending Act Branch Services KEN E BECK, LLC Check Cashing • Bank Check Ordering • Coin Sorting KEN E BECK Statement of Military Annual Percentage Rate (MAPR) Safe Deposit Boxes • Night Deposits Federal law provides important protections to members of the Apply for yours today! Armed Forces and their dependents relating to the extensions of consumer credit. In general, the cost of consumer credit to Digital Services a member of the Armed Forces and his or her dependent may Online Account Opening • Online Banking • Bill Pay • Popmoney Features not exceed an annual percentage rate of 36 percent. This rate must include, as applicable to the credit transaction or account: Mobile Banking (with Mobile Deposit • Debit Card Controls & Alerts) • Online access: view card activity and The costs associated with credit insurance premiums; fees for Debit Cards • Apple Pay®, Google Pay™, & Samsung Pay® statements, or set up custom email alerts ancillary products sold in connection with the credit transaction; any application fee charged (other than certain application • 24/7 support: cardholder service hotline fees for specified credit transactions or accounts); and any Commercial Products & Services available at 1-855-441-7706 participation fee charged (other than certain participation fees Business Checking • Insured Deposits (ICS & CDARS) for a credit cards account). Commercial Loans • Online Banking • Mastercard SecureCode: an optional Cash Management Services • Merchant Processing Services security feature to help protect your card Business Credit Cards while shopping online • Mobile wallet-enabled: ready for Apple Investment Services Pay, Google Pay, and Samsung Pay Investment Management • Financial Advisory Services • Chip card-enabled: enjoy enhanced Trust Administration security and improved international Investment Services are: not insured by FDIC or other federal government agency; not Credit Card deposits of or other obligations of the institution and are not guaranteed by the institution; acceptance may lose value; subject to investment risks, including possible loss of the principal investment. • Flexible configurations: order multiple Application cards attached to a single credit limit Check out www.KennebecSavings.Bank or call us • For consumers: integrates seamlessly with Platinum Mastercard® for Consumers at (207) 622-5801 for more information on any of Online Banking our products and services. Business Mastercard® for Businesses • For businesses: personalize billing and credit limits – consolidate everyone into one easy statement and limit, or Last updated 12/2019. All contents are accurate at the time of Apple Pay is a registered trademark of Apple Inc. Google Pay is a printing. For changes that may have been made after printing, trademark of Google LLC. Samsung Pay is a registered trademark of Member personalize at the individual or group level please contact us at PO Box 50, Augusta, ME 04332. Samsung Electronics Co., Ltd. FDIC